Individual
DR. KEITH L GLADSTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S ANAHEIM HILLS RD, #140, ANAHEIM, CA 92807-4780
(714) 974-2220
Mailing address
500 S. ANAHEIM HILLS RD,, #140, ANAHEIM HILLS, CA 92807
(714) 974-2220
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51949
CA
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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